| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
36,270 |
14,643 |
$1.52M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
37,939 |
19,226 |
$439K |
| 99233 |
Prolong inpt eval add15 m |
31,958 |
15,971 |
$411K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
18,103 |
17,944 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,852 |
18,417 |
$153K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
16,137 |
16,052 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,356 |
20,583 |
$128K |
| 99255 |
|
7,042 |
6,749 |
$114K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
41,792 |
39,346 |
$111K |
| 99254 |
|
9,798 |
9,226 |
$107K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
15,639 |
8,497 |
$104K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
41,092 |
19,544 |
$100K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,388 |
1,371 |
$64K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,447 |
4,313 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,954 |
4,545 |
$52K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
7,835 |
7,626 |
$51K |
| 99223 |
Prolong inpt eval add15 m |
3,849 |
3,687 |
$44K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,537 |
1,523 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,101 |
4,905 |
$42K |
| 59025 |
Fetal non-stress test |
37,176 |
16,623 |
$39K |
| 99460 |
|
4,092 |
4,035 |
$37K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,404 |
3,273 |
$34K |
| 59514 |
|
560 |
560 |
$30K |
| 76813 |
|
8,229 |
8,202 |
$30K |
| 43235 |
|
1,005 |
987 |
$27K |
| 17999 |
|
34 |
31 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
6,931 |
5,635 |
$25K |
| 36475 |
|
18 |
12 |
$23K |
| 99253 |
|
3,097 |
2,975 |
$22K |
| 59425 |
|
3,255 |
2,602 |
$21K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,688 |
2,985 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
947 |
943 |
$17K |
| Z1034 |
|
322 |
248 |
$14K |
| 11102 |
|
2,175 |
2,146 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,509 |
1,497 |
$13K |
| 93308 |
|
2,557 |
2,420 |
$12K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
111 |
109 |
$12K |
| 17311 |
|
239 |
202 |
$12K |
| 99221 |
|
2,030 |
1,954 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,207 |
2,191 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
732 |
727 |
$11K |
| 93016 |
|
3,098 |
3,080 |
$11K |
| 99462 |
|
1,881 |
1,599 |
$9K |
| 17110 |
|
1,275 |
1,247 |
$9K |
| 81002 |
|
9,482 |
7,985 |
$9K |
| 99215 |
Prolong outpt/office vis |
1,476 |
1,126 |
$8K |
| 93970 |
|
99 |
99 |
$8K |
| 99243 |
|
2,586 |
2,399 |
$8K |
| 76820 |
|
6,246 |
2,672 |
$7K |
| 93018 |
|
3,057 |
3,036 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,872 |
1,564 |
$7K |
| 15002 |
|
63 |
51 |
$7K |
| 93922 |
|
432 |
414 |
$6K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
111 |
109 |
$6K |
| 17000 |
|
1,447 |
1,431 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
372 |
368 |
$6K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
156 |
154 |
$5K |
| 99381 |
|
141 |
140 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,545 |
3,359 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
347 |
347 |
$5K |
| J2785 |
Injection, regadenoson, 0.1 mg |
69 |
67 |
$5K |
| 13132 |
|
150 |
150 |
$4K |
| 76825 |
|
1,501 |
1,470 |
$4K |
| 96910 |
|
402 |
129 |
$4K |
| 36820 |
|
105 |
76 |
$4K |
| 90670 |
|
938 |
933 |
$4K |
| 92552 |
|
684 |
681 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
130 |
127 |
$3K |
| 36832 |
|
115 |
92 |
$3K |
| 90647 |
|
732 |
726 |
$3K |
| 93296 |
|
959 |
958 |
$3K |
| 36819 |
|
21 |
12 |
$3K |
| 76801 |
|
1,417 |
1,391 |
$3K |
| 15003 |
|
16 |
13 |
$3K |
| 76998 |
|
410 |
400 |
$3K |
| 93298 |
|
695 |
686 |
$3K |
| 93458 |
|
51 |
51 |
$2K |
| 11900 |
|
985 |
966 |
$2K |
| 90681 |
|
389 |
386 |
$2K |
| 0002A |
|
49 |
49 |
$2K |
| 11104 |
|
303 |
302 |
$2K |
| 99497 |
|
524 |
427 |
$2K |
| 93321 |
|
951 |
912 |
$2K |
| 0001A |
|
49 |
43 |
$2K |
| 99252 |
|
237 |
233 |
$1K |
| 93295 |
|
531 |
530 |
$1K |
| 90723 |
|
519 |
518 |
$1K |
| 17003 |
|
840 |
833 |
$1K |
| 0012A |
|
34 |
34 |
$1K |
| 90700 |
|
323 |
319 |
$1K |
| 11100 |
|
289 |
270 |
$1K |
| 93299 |
|
655 |
649 |
$1K |
| 20610 |
|
304 |
239 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,470 |
1,422 |
$981.55 |
| 11103 |
|
238 |
237 |
$925.23 |
| 93015 |
|
60 |
60 |
$911.76 |
| 90633 |
|
299 |
293 |
$891.00 |
| 82962 |
|
2,078 |
1,825 |
$839.50 |
| 93297 |
|
948 |
946 |
$820.23 |
| 91200 |
|
555 |
555 |
$811.40 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
132 |
79 |
$771.73 |
| 73030 |
|
115 |
104 |
$746.11 |
| 0011A |
|
38 |
33 |
$740.22 |
| 90715 |
|
200 |
198 |
$692.59 |
| 93990 |
|
63 |
59 |
$649.13 |
| 99201 |
|
301 |
192 |
$577.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
385 |
296 |
$525.91 |
| 31624 |
|
12 |
12 |
$507.66 |
| 93000 |
|
166 |
157 |
$445.14 |
| 93325 |
|
1,112 |
1,046 |
$420.36 |
| 90707 |
|
58 |
58 |
$414.90 |
| 17312 |
|
14 |
14 |
$392.32 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
69 |
68 |
$386.23 |
| 93971 |
|
14 |
12 |
$338.24 |
| 90713 |
|
111 |
110 |
$331.20 |
| 36556 |
|
48 |
41 |
$326.00 |
| 81025 |
|
957 |
929 |
$310.76 |
| 90716 |
|
62 |
62 |
$299.70 |
| 11200 |
|
203 |
201 |
$290.46 |
| 99152 |
|
65 |
63 |
$279.17 |
| 99242 |
|
26 |
26 |
$269.66 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
477 |
458 |
$226.76 |
| 99423 |
|
27 |
27 |
$217.69 |
| 93272 |
|
58 |
57 |
$210.95 |
| 36620 |
|
35 |
29 |
$154.43 |
| 87220 |
|
391 |
387 |
$154.37 |
| 99358 |
Prolong nursin fac eval 15m |
30 |
17 |
$113.94 |
| 93224 |
|
25 |
25 |
$97.57 |
| 99304 |
|
16 |
16 |
$96.35 |
| 82948 |
|
565 |
515 |
$78.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
194 |
$66.49 |
| 31500 |
|
13 |
12 |
$58.61 |
| 99307 |
|
17 |
17 |
$56.22 |
| 93294 |
|
42 |
42 |
$42.80 |
| 90756 |
|
17 |
17 |
$24.52 |
| 90710 |
|
25 |
24 |
$18.00 |
| 90696 |
|
27 |
26 |
$18.00 |
| 99245 |
|
27 |
27 |
$0.00 |
| 93312 |
|
12 |
12 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,674 |
1,545 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$0.00 |
| 47562 |
|
15 |
14 |
$0.00 |
| 93978 |
|
12 |
12 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,960 |
1,849 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
108 |
77 |
$0.00 |
| 93289 |
|
14 |
14 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
40 |
39 |
$0.00 |
| 99241 |
|
14 |
14 |
$0.00 |
| 43264 |
|
12 |
12 |
$0.00 |
| 74328 |
|
16 |
16 |
$0.00 |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
25 |
14 |
$0.00 |